| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $758.58 | $1,000.00 | |
Aetna
| Professional | $85.11 | $141.25 | $194.98 | |
Cigna
| Facility | $134.90 | $138.04 | $436.52 | |
Cigna
| Professional | $186.21 | $186.21 | $186.21 | |
Molina
| Professional | $44.67 | $44.67 | $79.43 | |
Regence BlueShield
| Facility | $131.83 | $158.49 | $724.44 | |
Regence BlueShield
| Professional | $131.83 | $131.83 | $158.49 | |
Select Health
| Professional | $109.65 | $109.65 | $457.09 | |
U of Utah Health Plan
| Professional | $123.03 | $138.04 | $234.42 | |
United
| Professional | $66.07 | $66.07 | $93.33 |